| NPI | 1194929679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 46660) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD46660) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2015-03-03 |